Prevalence of Obesity* among U.S. Adults BRFSS, 2000 Source: Mokdad A H, et al. J Am Med Assoc 2000;284:13 No Data <10% 10%-14% 15-19% 20%

Obesity* Trends Among U.S. Adults BRFSS, 2001 No Data <10% 10%-14% 15-19% 20-24% 25%

31% of US adults are obese, 65% are obese or overweight -- and gaining 1-2 lbs a year Between 10% and 15% of children and teens are overweight/obese -- and more likely to become obese adults Overweight/obesity rates highest in low-income and minority populations Obesity health and productivity costs exceed $117 billion per year

Explaining the epidemic Not genetic or biological changes Not genetic or biological changes But sweeping society and environmental changes -- we live in an increasingly toxic environment But sweeping society and environmental changes -- we live in an increasingly toxic environment

Caloric Intake is Increasing Increased fast food/soft drink intake Increased fast food/soft drink intake Greater variety/quantity of energy-dense foods available Greater variety/quantity of energy-dense foods available Excessive low- fat food consumption Excessive low- fat food consumption Portion sizes growing Portion sizes growing

S. Ham, CDC, 2000.Recommended Activity = Moderate or Vigorous Activity Leisure Time Physical Activity Trends All States Reporting Physical Activity each year, BRFSS

Hours of TV Viewed Daily Millions of Person-Miles in Automobiles, Percent of Workforce in Sedentary Occupations Emergence of an Inactive Society Cars used for 80% of trips <1 mile Cars used for 80% of trips <1 mile 10% of children walk to school vs. 80% of their parents 10% of children walk to school vs. 80% of their parents Suburbs disconnected and pedestrian-unfriendly Suburbs disconnected and pedestrian-unfriendly More sedentary jobs and recreation More sedentary jobs and recreation

Walking Is Declining, While the Number of Overweight Adults Is Climbing Based on data from the Nationwide Personal Transportation Survey and the Centers for Disease Control and Prevention.